School of Nursing, Midwifery & Health, Faculty of Health and Life Sciences, Coventry University, Coventry, England.
Nurs Stand. 2020 Nov 4;35(11):43-49. doi: 10.7748/ns.2020.e11555. Epub 2020 Sep 28.
An indwelling urinary (Foley) catheter may be used in the management of various urological conditions, such as intractable incontinence and urinary retention, or as part of treatment regimens such as chemotherapy. Although some catheters may be required for long-term use, healthcare practitioners should regularly assess whether the device is still necessary and if it can be removed. This is because urinary catheters are a highly invasive intervention and their use is associated with a range of potential complications, including healthcare-associated infection and trauma to the neck of the bladder. This article outlines the procedure for the safe removal of a urinary catheter, including the patient care and monitoring required before, during and after this procedure. It also explains the complications that are associated with catheter removal and how these can be prevented and managed.
导尿管（ Foley ）留置术可用于治疗各种泌尿科疾病，如难治性尿失禁和尿潴留，或作为化疗等治疗方案的一部分。尽管有些导管可能需要长期使用，但医疗保健从业人员应定期评估该设备是否仍有必要，以及是否可以将其移除。这是因为导尿管是一种高度侵入性的干预措施，其使用与一系列潜在并发症相关，包括与医疗保健相关的感染和膀胱颈部创伤。本文概述了安全移除导尿管的程序，包括在该程序之前、期间和之后所需的患者护理和监测。它还解释了与导管移除相关的并发症以及如何预防和管理这些并发症。
